Lid/Orbit
Herpes Zoster Ophthalmicus
Also known as: HZO, shingles eye, ophthalmic shingles, V1 shingles, zoster ophthalmicus, herpes zoster eye, Hutchinson sign, shingles around eye
Clinical decision support only
Overview
A broader V1 varicella-zoster reactivation syndrome involving the forehead, periocular skin, eyelids, conjunctiva, and potentially deeper ocular structures. This parent record is for the acute unilateral dermatomal rash or pain pattern and ocular-risk triage; herpes zoster keratitis remains the separate cornea-specific manifestation. The safety task is to identify HZO early, check for ocular involvement, arrange prompt medical/ophthalmology care, and escalate immediately for corneal disease, uveitis, raised IOP, reduced vision, orbital signs, immunosuppression, or diagnostic uncertainty.
What OptoGuide™ covers for herpes zoster ophthalmicus
- Recognition patterns — symptoms, signs, and differentiators
- Don't-miss risks and escalation triggers
- Management tiers with linked Australian therapeutics
- Referral urgency, specialty, and letter drafting
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